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Aug 07 12 03:09p Reliable Petroleun-A 209-845-8953 p.5 <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Su it minimum of 3 sets of plans&applications as originals will be retained by EHD) <br /> 4. Site map enclosed? YES NO <br /> 2. Submit copies of I'1C Service Technician and/or Installer's certificate and all manufacturer training certificates for each <br /> person ins�tatllng o testing any component that is repaired or replaced. Ensure a copy of the'Site Health and Safety <br /> Plan" is available c n the jobsite as required by Title 8. <br /> 3. Detailed clesoriptio i of work to be completed. List components to be repaired or replaced and attach a diagram drawn <br /> to scale showing Ic cation of repairs and/or replacements. If repairing a component, describe how this will be done. (If <br /> adding piping, LID'O's, or other LIST equipment, or performing tank top upgrade, use the UST Installation Application <br /> pages 4-8 as nece;sary for a timely plan review): <br /> N, <br /> YT- <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showing third-party approval): <br /> 3 <br />